ND WIC New Food Package

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ND WIC New Food Package

• Policy and Procedure Review

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Most of policy changes limited to

• 1. Supplement Foods
• PP 04-03 parts 02-05
• Food Package (02)
• Special Food Package (03)
• Check Issuance (04)

• 2. Breastfeeding 04-05-08
• Food Package (08)- one can of formula for the
  mostly BF infant
• 3. Categorical Eligibility 04-01-02
• Breastfeeding woman, no food package is a
  participant

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Where do I find those policies again???

• Step 1- go to WIC home webpage www.ndhealth.gov/wi
  c/ and click on the last option presented on the
  left side of the page
• Home
• Office Locations
• Topics A-Z
• Publications
• Contact Us
• WIC Agency Directory
• WIC Food List
• New Food Package
• New WIC Food Package-Vendors
• New WIC Food Package-Staff
• WIC Staff Only

• Step 2- enter in the user name a password
• User Name ndgov\ndwic
• Password
• Wic2009

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Where are those policies?? cont.

• Step 3- when presented this page, click on blue
  WIC manuals
• WIC Manuals
• North Dakota Department of Health, WIC Manuals
• WIC Manuals
• For more information, contactColleen Pearce,
  Director701.328.4531

• Step 4- Select the manual you want- in this case
  Clinic
• Admin
• Clinic
• Forms
• Nutrition Risk Code Manual
• Vendor

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Where are those policies?? cont.

• Step 5- select the policy and procedure from the
  list presented
• 01 Eligibility (categorical, residential, income,
  nutritional, migrants).pdf
• 02 Certification (application, height, weight,
  blood work, transfers, ID folders, immunization
  and lead).pdf
• 03 Supplemental Foods (food packages, special
  formula, check issuance).pdf
• 04 Education (guidelines, contacts, referrals,
  nutrition education materials).pdf
• 05 Breastfeeding (training, support, promotion,
  evaluation).pdf

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Supplement Foods 04-03-02
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Supplemental Foods

• This is the policy where we
• Establish our rules for foods on WIC (marketing,
  availability, additives, etc).
• Present the USDA parameters for allowable
  foods-milk (Vit D) or cereal (sugar and iron)
• Define whats in each of the 7 WIC food packages

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Whats different from the past?

• New foods- whole wheat bread, canned beans, fresh
  fruits and vegetables
• Different amounts of food items for various
  groups
• Elimination of some foods (46 oz juice, infant
  juice, 2 cheese, some cereals and lt18 oz peanut
  butter)
• An expectation that the full food package is
  always offered

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When can you give less?
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What happens if you give less?
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Food packages
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Infants 0-5 months- Fd Pkg 1

• Infant formula is the only category of
  supplemental food in the package
• One can of formula for mostly BF infant

Infants 6-11 months- Fd Pkg 2

• Again formula plus cereal
• Formula amounts change based on BF Status and on
  age of infant
• New baby fruit and vegetables
• New baby meats for fully breastfed

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Special Food Packages- Fd Pkg III

• The package for all (W, I, and C) if they have a
  medical condition requiring special formula
• And if prescribed, all of the other food they
  would be entitled to
• Medical documentation for recognized conditions
• Use if you need more cheese, whole milk for
  children gt2 and underweight women

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Children- Fd Pkg IV

• Only 1 pound of cheese- thats the max
• Whole milk only for 1-2 year olds
• 2, 1 or skim for children over 2 years
• Milk will be specified on the check
• Soy and more cheese, with a qualifying medical
  condition
• New whole grain option (2), CVV
• 1 Less milk and 2 juice than in past

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Pregnant and partially breastfeeding women up to
1 year- Fd Pkg V

• Lower fat milk choices only (2, 1, skim)
• Soy beverage may be substituted for cows milk
• 1 pound of cheese only (more if qualifying
  medical condition)
• Whole grain option (1) and CVV
• Less milk and juice

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Non-breastfeeding delivered women- Fd Pkg VI

• Lower fat milk choices only
• Soy beverage may be substituted for cows milk
• 1 pound of cheese only (more if qualifying
  medical condition)
• No bread with this package
• Less milk and juice than in past

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Fully breastfeeding, pregnant with multiples,
partially breastfeeding multiples- Fd Pkg VII

• Lower fat milk choices only
• Soy beverage may be substituted for cows milk
• 1 pound of cheese only (more if qualifying
  medical condition)
• Tuna and salmon option, whole grain and CVV
• More food (alternate between 2 months to better
  accommodate the food amounts
• Less juice and milk than in past

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Non-contact formula

• A non-contract infant formula is defined as the
  iron fortified milk based, milk based without
  lactose, and soy based infant formulas not
  covered by the ND infant formula rebates.
  Exceptions
• For religious reasons only, Similac Advance
• Enfamil AR Lipil
• Similac Sensitive

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Special Food Packages 04-03-03

• Medical Documentation- Kim will cover
• Homeless food packages

Check Issuance 04-03-04

• Using the Cash Value Voucher (CVV)

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CVV- its new
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Breastfeeding 04-05-08Food package for
breastfeeding women
Staff may issue one can of powdered formula to
mostly breastfed infants during the first month
of life if determined appropriate during the
CPAs assessment.   Allowable conditions for
issuance Maternal medical
indications Infant medical indications Non-medical
reasons Need to document why one can of formula
was provided in the participants record (food
package comments or care plan) in WICnet    
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Categorical Eligibility 04-01-02

• Breastfeeding women who receive no supplemental
  foods but whose breastfed infant receives
  supplemental food are considered WIC
  participants.

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Quick review on policy changes

• New foods and new amounts of foods
• Milk- whole only for 1-2 year olds, but for all
  older children and women, 2, 1 or skim only.
• Type of milk now specified on the check
• 1 pound of cheese is the maximum
• When you give less than the full amount of food
  the participant is entitled to, you need to
  document why.
• If you give the partially BF infant that one can
  of formula that first month, document why

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Your families will take their lead from you.
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Heres one area you do have some choices